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HomeMy WebLinkAboutSupplemental Attachments - 5/20/2019City of Waterloo Finance Committee Preliminary Draft Invoice Report For May 20 2019 Approval Finance Committee Accounts Payable Open Invoice Report Total As of Friday, May 17, 2019 EFT Transactions: 1,220,506.14 GATSO 26,172.00 Bankers Trust 9,040,498.15 Wells Fargo 3,995,180.00 Add: Wellmark Weekly Claims 259,067.77 Workers Compensation Issued by TPA Housing Authority Housing Assistance EFT's Housing Authority Housing Assistance EFT's Payroll 14,541,424.06 15, 996.76 783.00 Bill Payment Total - Monday, May 20, 2019 14,558,203.82 Payment to Council members or related entities: TRAVEL REQEST CITY OF WATERLOO NAME(S) AND POSITION(S): Kent Shankle, Director DATE: 5/9/2019 FINANCE DEPT. LINE ITEM USED FY ;2oI? BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER TI -115 REQUEST DATE Original - Clerk/Finance STAFF ONLY 04' Ate 42(d /346, /ow ce- did2,- Soo 515-s 19 Cosy - De•artment NAME OF CLASS / MEETING: Transport of exhibition/program supplies DEPARTURE DATE: 5/18/19 DESTINATION: Rhinelander WI DEPARTURE POINT IF NOT WATERLOO: RETURN DATE: 5/20/19 DATE(S) OF MEETING: 5/18-19/19 PURPOSE OF TRAVEL/TRAINING: Travel to pick up Haitian art from the WCA collection which was recently on exhibition at ArtStart in Rhinelander WI. Travel will also include a stop in Minneapolis MN to pick up building supplies and clay for ceramics programs (a previous trip had been scheduled to pick up clay order but clay was not available due to production problems). Travel is supported by a grant from the Iowa Department of Cultural Affairs. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: YES NO COST $ METHOD OF TRAVEL: X CITY VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: $75.00 LODGING MEALS REGISTRATION $225.00 MILEAGE/FUEL TOTAL FOR ALL: $ $300.00 TAXI PARKING AIRFARE MISC/TOLLS I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO DEPART / LENT HEAD ( (9 PRIVATE VEHICLE 26STG.OSG 010 26 BUDGET LINE ITEM: 4265 1346 YES NO GRANT REIMBURSABLE x REQUIRED CERTIFICATION YES NO TOTAL: $ PER PERSON I APPROVE THIS TRAVEL REQUEST wybt.-i-vizacy MAYOR DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 Ater .c/9l/5� CITY OF WATERLOO, IOWA CITY ATTORNEY'S OFFICE 715 Mulberry Street • Waterloo, IA 50703 • (319) 291-4327 Fax (319) 291-4286 May 20, 2019 Mayor Quentin Hart and City Council Members City Hall Waterloo, IA 50703 Dear Mayor Hart and Council Members: I have examined the bonds filed with the City Clerk/Auditor's Office up to the close of business on May 20, 2019. Of the 6 bonds submitted, shown on the attached list. Very truly yours, were approved and was rejected, as DDR.ZHOEFER Waterloo City Attorney DRZ:sda CITY WEBSITE: www.cityofwaterlooiowa.com WE'RE WORKING FOR YOU! An Equal Opportunity/Affirmative Action Employer BONDS FOR COUNCIL APPROVAL May 20, 2019 RIGHT OF WAY CONSTRUCTION BOND AMOUNT $15,000.00 X98382 ALLEN NIEDERT dba NIEDERT CONSTRUCTION AND REMODELING WATERLOO, IA RLI0513265 B.C. CONSTRUCTION, INC. CEDAR FALLS, IA --- CROSSROADS PROPERTY MAINTENANCE '—,4".e'-').4 WATERLOO, IA 1A5162189 JONI STEEN WATERLOO, IA RL10618722 LARRY A. RUST dba LARRY AND COMPANY, INC. RAYMOND, IA --- W150316379 PROFESSIONAL CONCRETE WATERLOO, IA SureTec Insurance Company CONTINUATION CERTIFICATE Bond No.: 3398382 Principal: ALLEN NIEDERT DBA NIEDERT CONSTRUCTION AND REMODELING Bond Amount: $15,000.00 Bond Description: Right of Way Construction Obligee: City of Waterloo Gentlemen: You are hereby notified that the above Bond shall be continued in force for a period effective from 04/30/2019 until 04/30/2020 unless it is cancelled by the surety or otherwise terminated. All other terms and conditions remain unchanged. The aggregate liability of the surety shall not exceed the amount of this Continuation Certificate. The liability of the surety shall not cumulate by reason of this certificate, any continuation certificate, change rider, endorsement, modification, new bond, reinstatement, reissue, renewal, replacement, or substitution issued in the future. Signed this 29th day of March 2019 . SureTec Insurance Company, Surety By: David Gonsa ves POA it: 3398382 SureTec Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make, constitute and appoint David Gonsalves its true and lawful Attorney-in-fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the conditions of contracts and consents of surety for: Principal: ALLEN NIEDERT DBA NIEDERT CONSTRUCTION AND REMODELING Obligee: City of Waterloo Amount: $15,000.00 and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney -in -Fact may do in the premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney -in -Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20th of April, 1999) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal to be hereto affixed this 6th day of April, A.D. 2017. w;w State of Texas ss: ;`t, County of Harris • , On this 6th day of April, A.D. 2017 before me personally came John Knox, Jr., to me known, who, being by me . ly sworn, did depose and say, that he resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company descrt.ed in and which executed the above instrument; that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said Company; and that he signed his name thereto by like order. SURETEC ' ' • Y By: ..../ John Knox,, - t Presid s Y ... JACQUELYN GREENLEAF Notary Public, State of Texas +P; Comm. Expires 05-18-2021 Notary ID 126903029 1, M. Brent Beaty, Assistant Secretary of SURETEC INSURANCE COMP of a Power of Attorney, executed by said Company, which is still in full out in the Power of Attorney are in full force and effect. Jacquelyn Greenleaf, Notary Public My commission expires May 18, 2021 ANY, do hereby certify that the above and foregoing is a true and correct copy force and effect; and furthermore, the resolutions of the Board of Directors, set Given under my hand and the seal of said Company at Houston, Texas this 29th dayygf Marc 019 , A.D. M. Brent : eaty, Assistant Secretary Any instrument issued in excess of the penalty stated above is totally void and without any validity. For verification of the authority of this power you may call (713) 812-0800 any business day between 8:00 am and 5:00 pm CST. RIGHT OF WAY CONSTRUCTION BOND No. RLI0513265 Applicant's Telephone Number: j i - - / 13 KNOW ALL MEN BY THESE PRESENTS: That (1), (We), B.C. Construction, Inc. of P.O. Box 594 Cedar Falls , IA Street as Principal, and City State Old Republic Surety Company of 445 S Moorland Rd, Suite 200 Brookfield, WI 53005 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa, a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above bounden B.C. Construction, Inc. of P.O. Box 594 Cedar Falls, IA 50613-0027 will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is May 1, 20 19 , through April 30, 20 20 Witness our hands this PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 Updated 1-24-00 PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. 25th day of January , 20 19 B.C. Construction, Inc. PRINCIPAL By: \9• Ci, Printed Name: B.C. Construction, Inc. Old Republic Surety Company SURETY By: e_ Attorney-in-fact **** * * OLD REPUBLIC SURETY COMPANY **** POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation, does make, constitute and appoint: Elise Faust of Brookfield, WI its true and lawful Attorney(s)-in-Fact, with full power and authority, not exceeding $10,000,000, for and on behalf of the company as surety, to execute and deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof, (other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, asbestos abatement contract bonds, waste management bonds, hazardous waste remediation bonds or black lung bonds), as follows: Effective Date: 4/30/2019 12:00:00 AM Bond Number: RLI0513265 Bond Amount: Fifteen Thousand Dollars $15,000.00 Principal Name: B.C. Construction, Inc. Obligee Name: City of Waterloo Engineering Dept of Waterloo, IA and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attomeys-in-Fact, pursuant to these presents, are ratified and confirmed. This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that the president, any vice president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint attomeys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf of the company to execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president, any vice president or assistant vice president, and attested and sealed (if a seal be required) by any secretary or assistant secretary; or (ii) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed (if a seal be required) by a duly authorized attorney-in-fact or agent; or (iii) when duly executed and sealed (if a seal be required) by one or more attomeys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attomey issued by the company to such person or persons. RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attomey or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the company; and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer, and its corporate seal to be affixed this 25th day of January 2019 p Assistant Secretary STATE OF WISCONSIN, COUNTY OF WAUKESHA - SS On this 25th day of January 2019 personally came before me Alan Pavlic and Jane E. Cherney , to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that they are the said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. 0 coOPORArf SEAL nn *1111,0"\ OLD REPUBLIC SURETY COMPANY President CERTIFICATE I, the undersigned, assistant secretary of the Power of Attorney remains in full force and has n Attorney, are now in force. 0405758 ORSC 22262 (3-06) ALLIED GENERAL AGENCY CO coaaoa.rr, SEAL Notary Public My Commission Expires: 09/28/2022 (Expiration of notary's commission does not invalidate this instrument) OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that the foregoing and attached of been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of Signed and sealed at the City of Brookfield, WI this 25th day of January 2019 e Assistant Se ry creta RIGHT OF WAY CONSTRUCTION BOND o. Applicant's Telephone Number: i — 15 — / 9 5:i KNOW ALL MEN BY THESE PRESENTS: That (I), (We), 0 I g;1(Gcutc. ?i1) pe'r-1-1, it 111 ki/LCG44 (.... of ��1D [V I C kt}Ct,C Ct . , LO6 (611) (Pr E G 7 Street City State as Principal, a ' eairIA-- Y <SlAYf, VLL(.-- of as Surety, are held and firmly bound unto the City of Wath o, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa, a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, T R FORE if they above bounden VII ```' l ci pi,f04-(„avlii.--416,6f€U t U � -� will faithful) erformand all duties YP and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is May 1, 20 I `'1 , through April 30, 20 Witness our hands this 10 day of PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 ,2019 . tPRINCIPAL By:)( 2 A L. r ` hATA, GtA-e.,1 Printed Name: -y-m-fact Updated 1-24-00 _ 1,(, 6e—e— PLEASE COMPLETE C } -I tKLIST ON REVE SIDE BEFORE SUBMITTING BOND. StateFarm O 0o POWER OF ATTORNEY STATE FARM FIRE AND CASUALTY COMPANY KNOW ALL PERSONS BY THESE PRESENTS: That STATE FARM FIRE AND CASUALTY COMPANY, an Illinois corporation, with its principal office in Bloomington, Illinois, does hereby constitute and appoint- of ppointof Waterloo, Iowa Lynn Speed its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in the nature of a bond as follows: $ 2,500 — License, Permit or Indemnity — Financial Guarantee $100,000 — Administrator, Executor, or Trustee of a decendent's estate $25,000 — License & Permit — Code Compliance $50,000 — Guardian, Conservator, or Committee $25,000 — Public Official $25,000 — Receiver $ 2,500 — Judicial THIS POWER OF ATTORNEY IS NOT VALID FOR THE EXECUTION OF ANY CONTRACT (CONSTRUCTION OR SUPPLY) BOND - BID, PERFORMANCE OR PAYMENT. This appointment is made under and by the authority of a resolution which was passed by the Executive Committee of the Board of Directors of State Farm Fire and Casualty Company on the 14th day of March, 2018, as is duly authorized by the Board of Directors in Article II, Section 6 of the By -Laws of the Company, which resolution is: WHEREAS, the Board desires to delegate the authority to appoint persons as Attorneys -in -Fact for certain bonds, undertakings, or other writings obligatory in the nature of a bond. RESOLVED, that any Officer of the Company who works regularly with surety bonds is hereby authorized to appoint and empower any representative of the Company as Attorney -in -Fact to execute on behalf of the Company any bonds, undertakings, or other writings obligatory in the nature of a bond, which the Company might execute through its officers. Any said execution of such documents by an Attorney -in Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by he regularly elected or appointed officers of the Company. Any Attorney -in -Fact, so appointed, may be removed for good cause and the authority so granted may be revoked as specified in the Power of Attorney. IN WITNESS THEREOF, STATE FARM FIRE AND CASUALTY COMPANY has caused this instrument to be signed by its Officer, and its Corporate Seal to be affixed this 14th day of March, 2018. This APPOINTMENT SHALL CEASE AND TERMINATE AUTOMATICALLY AS OF DECEMBER 31, 2021, UNLESS SOONER REVOKED AS PROVIDED. PE AND SEM&E rte, STATE FARM FIRE AND CASUALTY COMPANY By. John R. Horton - Assistant Secretary Treasurer STATE OF ILLINOIS 1, COUNTY OF McLEAN On this 14th day of March, 2018, before me personally came John R. Horton to me known, who being duly sworn, did depose and say that he is Assistant Secretary Treasurer of STATE FARM FIRE AND CASUALTY COMPANY, the corporation described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such Corporate Seal; and that he executed said instrument on behalf of the corporation by authority of his office under the By -Laws of said corporation. OFFICIAL SEAL Pamela Chancellor NOTARY PUBLIC - STATE OF ILLINOIS My Commission Expires August 30, 2021 gaxa, C.10,4_04 Notary Public My commission expires August 30, 2021 CERTIFICATE 1, the undersigned Assistant Secretary Treasurer of STATE FARM FIRE AND CASUALTY COMPANY, do hereby certify that the original Power of Attorney of which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force. `FtOr919(1) Signed and sealed at Bloomington, Illinois. Dated this day of SEM. If you have a question concerning the validity of this Power of Attorney, call 309-766-2090. 124061.12 (06-19-2018) c • Julia K/inzing- Assistant Secretary Treasurer RIGHT OF WAY CONSTRUCTION BOND No. IA5162189 Applicant's Telephone Number: (319) 830-8024 KNOW ALL MEN BY THESE PRESENTS: That (I), (We), Joni Steen of 625 Sherman Avenue Waterloo Iowa Street as Principal, and City State Merchants Bonding Company (Mutual) of P.O. Box 14498, Des Moines, IA 50306-3498 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa. a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above boundenJoni Steen of Waterloo, IA will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is May 10, 2019 , through April 30, 2020 Witness our hands this 10th day of PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 Updated March 2017 PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. May 2019 Joni Steen PRINCIP B Printed Name: Merchants Bonding Company (Mutual) SURETY By: Attorney-in-fact William Warner Jr., Attorney -in -Fact LP 0467 IA (2/17) THE FOLLOWING IS A HELPFUL CHECKLIST TO ASSIST THE PRINCIPAL AND/OR SURETY. THERE MAY BE OTHER ITEMS REQUIRED BY THE SURETY, WHICH ARE NOT LISTED HERE. BEFORE SUBMITTING THIS RIGHT-OF-WAY CONSTRUCTION BOND FORM, PLEASE BE SURE THE FOLLOWING ITEMS ARE COMPLETED: ✓ the correct local telephone number of the principal is included; v the typewritten name of the principal is the same as the name on the signature line; ✓ the bond is signed by the principal; ✓ the correct address for the principal is included; ✓ surety's address is correct; ✓ beginning and expiration dates are correct, beginning date on bond may be changed, all right-of-way construction bonds expire on April 30 of the following year (i.e. bond written during 2005 shall expire April 30, 2006); ✓ the attached power-of-attorney must be effective prior to, or on, the date the bond is issued: ✓ attorney-in-fact signing the right-of-way construction bond is listed on the power-of-attorney; and • name of attorney-in-fact is typed under the signature line; ✓ once the above -referenced items are completed this form must be submitted to the City of Waterloo Engineering Department so that it can be forwarded to the City Council for approval before any permits can be issued. Any items received in the Engineering Department by 4:00 P.M. on Tuesdays will be placed on the following Monday's agenda or the next available Council meeting due to a fifth Monday in a month and/or holidays. MERCHAN-i\ BONDING COMPANY, POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, William Warner Jr. their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenti ng to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 10th day of May , 2019 • . 0....... ••-�-•. ; • : osPOki% • p• '' P0'• • • •••:".Y... 'C2003 o; : ). 1933 vR By 1.0 `•• • STATE OF IOWA MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. President COUNTY OF DALLAS ss. On this this 10th day of May , 2019 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. AUCIA K. GRAM Commission Number 767430 My Commission Expires April 1, 2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 10th day of May , 2019 . ••••••q'�,PO A-. .•',NpQ QUA . 4. .: c, 1•••2•• • c, ...4% .4. • .e,V-C•ciss/ .0"?..0,:e.-0-L‘,"" a : • 2 : •• . cr 3.• t?: 2003 : �• ••y• 1933 ; •• Secretary POA 0018 (3/17) RIGHT OF WAY CONSTRUCTION BOND No. RL10618722 Applicant's Telephone Number: 3194 jj 4 5R.77 KNOW ALL MEN BY THESE PRESENTS: That (I), (We), Larry A. Rust DBA Larry and Company, Inc. of 6500 LaFayette Rd. Raymond , IA Street City State as Principal, and Old Republic Surety Company of 445 S Moorland Rd, Suite 200 Brookfield, WI 53005 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa, a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above bounden Larry A. Rust DBA Larry and Company, Inc. of 6500 LaFayette Rd. Raymond, IA 50667 will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is May 1, 20 19 , through April 30, 20 20 Witness our hands this 25th day of January , 20 19 . PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 Larry A. Rust DBA Larry and Company, Inc. PRINCIPAL By: Printed Name: Larry A. Rust Old Republic Surety Company SURETY By:' Attorney-in-fact Updated 1-24-00 PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. **** * * OLD REPUBLIC SURETY COMPANY **** POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation, does make, constitute and appoint: Elise Faust of Brookfield, WI its true and lawful Attorney(s)-in-Fact, with full power and authority, not exceeding $10,000,000, for and on behalf of the company as surety, to execute and deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof, (other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, asbestos abatement contract bonds, waste management bonds, hazardous waste remediation bonds or black lung bonds), as follows: Effective Date: 4/30/2019 12:00:00 AM Bond Number: RLI0618722 Bond Amount: Fifteen Thousand Dollars $15,000.00 Principal Name: Larry A. Rust DBA Larry and Company, Inc. Obligee Name: City of Waterloo Engineering Dept of Waterloo, IA and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attomeys-in-Fact, pursuant to these presents, are ratified and confirmed. This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982. This Power of Attomey is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that the president, any vice president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint attomeys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf of the company to execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may remove any such attomey-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president, any vice president or assistant vice president, and attested and sealed (if a seal be required) by any secretary or assistant secretary; or (ii) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed (if a seal be required) by a duly authorized attorney-in-fact or agent; or (iii) when duly executed and sealed (if a seal be required) by one or more attorneys -in -fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the company; and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer, and its corporate seal to be affixed this 25th day of January 2019 e Assistant Secretary STATE OF WISCONSIN, COUNTY OF WAUKESHA - SS On this 25th day of January 2019 personally came before me Alan Pavlic and Jane E. Cherney , to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that they are the said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. SURpT;"',, coavoa•r.,....,.CO �' SEAL IWB, ,1 C OLD REPUBLIC SURETY COMPANY President Al VNott Public My Commission Expires: 09/28/2022 CERTIFICATEiration Ex of notary's p' commission does not invalidate this instrument) 1, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of Attorney, are now in force. 0401914 ORSC 22262 (3-06) PEOPLES INSURANCE AGENCY, LTD. GOa00a„r,• SEAL Signed and sealed at the City of Brookfield, WI this 25th _ day of January 2019 p Secretary O 05/16/2019 8:56 AM 15154620040 4 13192875941 pg 1 of 3 RIGHT OF WAY CONSTRUCTION BOND No, W150316379 Applicant's Telephone Number: ?,95 C� KNOW ALL MEN BY THESE PRESENTS: That (I), (We), Professional Concrete of 4641 Gilbertvilte Rd Street Waterloo , IA City State as Principal, and Old Republic Surety Company of 445 S Moorland Rd, Suite 200 Brookfield, WI 53005 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa, a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above bounden Professional Concrete of 4641 Gilbervlte Rd Waterloo, IA 50701 will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is May 1, 20 19 , through April 30, 20 20 Witness our hands this 25th day of January , 20 19 . Professional Concrete PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 PRINCIPAL By: Printed Name: Profession oncrete Old Republic Surety Company SURETY By:.. Attorney-in-fact Updated 1-24-00 PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. O 05/16/2019 8:56 AM 15154620040 a 13192875941 pg 3 of 3 OLD REPUIILIC SURETY COMPANY POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation, does make, constitute and appoint: Elise Faust of Brookfield, Wi its true and lawful Attorney(s)-in-Fact, with full power and authority, not exceeding $10,000,000, for and on behalf of the company as surety, to execute and deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof, (other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, asbestos abatement contract bonds, waste management bonds, hazardous waste remediation bonds or black lung bonds), as follows: Effective Date: 4/30/2019 1200:00 AM Bond Number: W150316379 Bond Amount: Fifteen Thousand Dollars $15,000.00 Principal Name: Professional Concrete Obligee Name: City of Waterloo Engineering Dept of Waterloo, IA and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys -in -Fact, pursuant to these presents, are ratified and confirmed. This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that the president, any vice president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint attorneys -in -fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf of the company to execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may remove any such attomey-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company (1) when signed by the president, any vice president or assistant vice president, and attested and sealed (if a seal be required) by any secretary or assistant secretary; or (ii) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed (if a seal be required) by a duly authorized attorney-in-fact or agent; or (iii) when duly executed and sealed (if a seal be required) by one or more attorneys -in -fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the company; and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer, and its corporate seal to be affixed this 25th day of p January 2019 Assistant Secretary 0, STATE OF WISCONSIN, COUNTY OF WAUKESHA - SS On this 25th day of January 2019 personally came before me Alan Pavtic and Jane E. Cherney , to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that they are the said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. ter s g SEAL OLD REPUBLIC SURETY COMPANY Xj$'141 President CERTIFICATE Notary Public My Commission Expires: 09/28/2022 (Expiration of notary's commission does not invalidate this instrument) I, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that the foregoing and attached Power of Attomey remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of Attomey, are now in force. 0405139 g SEAL ;iE Signed and sealed at the City of Brookfield, WI this 25th day of ORSC 22252 (3.06) SCOTT INSURANCE SERVICES January 2019 447 Ass,stant Secrefary